1699792515 NPI number — EXPERT HOME HEALTH CARE, INC

Table of content: (NPI 1699792515)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699792515 NPI number — EXPERT HOME HEALTH CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EXPERT HOME HEALTH CARE, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699792515
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/22/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
909 BUSINESS PARK DR
Provider Second Line Business Mailing Address:
SUITE#10
Provider Business Mailing Address City Name:
MISSION
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78572-6052
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-584-7103
Provider Business Mailing Address Fax Number:
956-584-8778

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
909 BUSINESS PARK DR
Provider Second Line Business Practice Location Address:
SUITE#10
Provider Business Practice Location Address City Name:
MISSION
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78572-6052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-584-7103
Provider Business Practice Location Address Fax Number:
956-584-8778
Provider Enumeration Date:
07/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DURAK
Authorized Official First Name:
YILDIRIM
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
956-584-7103

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  004797 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 004797 . This is a "TEXAS STATE LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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